Individual provider Active NPI

Richard Ratliff Roe IV, M.D.

  • Anesthesiology Physician
  • New Orleans, LA
National Provider Identifier
1467897348
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
#390200000X Issued in LA
Practice address
1514 Jefferson Hwy
Brent House Room 634
New Orleans, LA 70121-2429
Phone
(504) 842-3000
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X #390200000X LA Primary

Addresses

Primary practice location

1514 Jefferson Hwy
Brent House Room 634
New Orleans, LA 70121-2429

Mailing address

701 Cypress St
Sulphur, LA 70663-5053
Phone (337) 480-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170717002574 LA Practitioner - Anesthesiology 1456576370 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
#390200000XLAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Hospital Service District CurrentSince Feb 6, 2021 Accepting new patients
LCMS Cardiovascular Diseases, LLC Anesthesiology CurrentSince Oct 1, 2018 Accepting new patients
Calcasieu Cameron Hospital Service District Current Accepting new patients
West Louisiana Health Services Inc CurrentSince Jan 1, 2023 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Feb 6, 2021 Accepting new patients
Youngs Professional Services LLC CurrentSince Jan 12, 2024 Accepting new patients
Beauregard Memorial Hospital Medical Staff Services Past Accepting new patients

Locations

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

1020 Main St
Hackberry, LA 70645
Phone (337) 762-3762

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

5150 Robotics Ln
Lake Charles, LA 70605
Phone (337) 214-1591

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1467897348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635053",
            "telephone_number": "337-480-8900",
            "fax_number": "337-480-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "address_2": "BRENT HOUSE ROOM 634",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "RICHARD",
        "middle_name": "RATLIFF",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "#390200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.